Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ALEXIS NICOLE JACOBSON LICSW
NPI 1083372106
Counselor - Mental Health in Two Harbors, MN

Active since December 06, 2021PECOS Enrolled
1148 SHOREVIEW RD, TWO HARBORS, MN 55616(218) 220-7845 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2026, Dec 6, 2021 (2 updates tracked since 2021).

About Alexis Nicole Jacobson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS NICOLE JACOBSON LICSW (NPI 1083372106) is an individual mental health provider in Two Harbors, Minnesota, licensed in Minnesota (30219) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083372106
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXIS NICOLE JACOBSONCredential: LICSW
Location Address1148 SHOREVIEW RDTwo Harbors, MN 55616-5011
Mailing Address1148 Shoreview RdTwo Harbors, MN 55616-5011 · (218) 595-0017
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
NPI 1083372106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 30219
1148 SHOREVIEW RD, Two Harbors, MN 55616

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexis Nicole Jacobson Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476992470
PECOS Enrollment IDI20240423002051
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1148 SHOREVIEW RD
TWO HARBORS, MN 55616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Jacobson's NPI number?

The NPI number for Alexis Jacobson is 1083372106. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Alexis Jacobson located?

Alexis Jacobson practices at 1148 Shoreview Rd, Two Harbors, MN 55616. The listed phone number is (218) 220-7845.

What is Alexis Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alexis Jacobson enrolled in Medicare?

Yes. Alexis Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexis Jacobson accept?

Health plans from HealthPartners list Alexis Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Jacobson was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.